Welcome! [meded.ucsf.edu] - UCSF Medical Education · PDF fileWelcome! Carolyn Bradner Jasik, MD . Assistant Professor of Pediatrics . Assistant Medical Director of Informatics . UCSF

UCSFMC Clinical Information Systems

Welcome! Carolyn Bradner Jasik, MD Assistant Professor of Pediatrics Assistant Medical Director of Informatics UCSF Benioff Children’s Hospital – San Francisco

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Big Cheeses – Nice, but not around much

PEDS ADULT (AMB) SURGERY

ADULT (IP) OB/GYN

ANESTH/ PERI-OP

EMER MEDICINE

UCSF Medical Center integrated Electronic Health Record

APeX – Advancing Patient Centered Excellence

– Epic is our vendor – In Ambulatory practices for 3 years – In Inpatient for 2 years – It was a Big Bang. What does that mean?

• Same EHR for all sites, inpatient and ambulatory • All-electronic documentation • Computerized Provider Order Entry

– 2 exceptions: Chemotherapy and Pediatric TPN – Pharmacy automation and barcoded medication and

blood administration

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UCSF Medical Center Integrated Electronic Health Record

Also on the Desktop – iSite, for online viewing of radiology – UCSF CareLinks: Up-to-date, PubMed, Lab manual,

Pharmacy references, Pager Box, and more – Personal folder (“P: drive”) for file storage – CareWeb collaborative ‘paging’ platform – Team folder (“T: drive”) for shared materials – Microsoft Office – Internet Explorer

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UCSF Medical Center Integrated Electronic Health Record

Apex on your Phone (Haiku) or Tablet (Canto) Get it once you have logged in once In App Store or Google Play, search:

– “Epic Haiku” on iPhones and all Android devices – “Epic Canto” on iPads – Setup instructions: http://apex/kb (knowledge bank)

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UCSF Medical Center Integrated Electronic Health Record

UCSF Med Center Connect You can reach Apex from any Windows or Mac computer in the world

connect.ucsfmedicalcenter.org

Again, you have to have logged in physically at UCSF once before you can use UCSF Connect.

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UCSF Medical Center Integrated Electronic Health Record

Apex Training

http://apextraining.ucsfmedicalcenter.org/providers/

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“Apex Training” dot “UCSF Medical Center” dot “Org” slash “Providers”

You must complete the training before you can practice at

UCSF Medical Center.

UCSF Medical Center Integrated Electronic Health Record

Apex Help 24 / 7

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514-4100

UCSF Medical Center Integrated Electronic Health Record

Getting your UCSFMC / Apex Login

http://apex/

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from a computer on the UCSF network.

Providers - Find Your Username – Click Here

There’s a bit more to my 15 min of fame…

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Key EHR Take-Home Points

• Know who and how to ask for help • Use, don’t lose, the problem list • Know (and love!) the EHR clinical content • Customize & optimize, don’t workaround • Don’t pick up bad habits of others • You can get data for your research

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Who and How to Ask for Help

• Call the Help Desk – 514-4100

• File a Ticket – https://ucsf.service-now.com/ess/home.do

• Ask your Senior or Chief • Find a Super User • Ask the Clinical Informatics Faculty

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Use, Don’t Lose, the Problem List

• Primary location for documenting patient medical problems

• Accessible in all care areas, shared by all users • Must be accurate, up to date, and populated

consistently to work • Updated in Problem List section in the

navigators vs. in your note. – Assessment and Plan notes are service specific – Overview is the same for services

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Know (and love!) the EHR clinical content

• Your clinical area has specific content – Templates – Smart Sets – Order Sets – Patient Lists – Sign Out / One Liner

• Ask your chief which tools you should be using

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One Liner

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Sign Out

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Customize & optimize, don’t workaround

• Personal patient lists • Custom patient list columns • Chart review filters • Wrenching in patient summary reports • Order set defaults • Preference lists • Personal smartphrases • Notewriter macros • Care Everywhere • Ambulatory Medication History

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Don’t Pick up Bad/Lazy Habits

• Clinical Documentation – Copy/paste – Long, redundant notes – Copying student notes (not

OK)

• Admission – Incomplete Med Rec – Missed allergies

• Problem List – No principal problem

• Ordering – Duplicating ambulatory lab

orders – Writing nursing comm

orders vs. specific order • Treatment Team

– Not assigning yourself – No PCP specified

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You can get data for your research

https://it.ucsf.edu/about/teams/academic-research-systems

• Data In

– REDCap – Qualtrics – APeX structured data

forms

• Data Out

– Integrated Data Repository (IDR)

– MyResearch – UCReX – Research Data

Browser

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[email protected]